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Influence of sociocultural factors on the ovulatory status of polycystic ovary syndrome

Fertility and Sterility, ISSN: 0015-0282, Vol: 91, Issue: 5, Page: 1853-1856
2009
  • 31
    Citations
  • 0
    Usage
  • 73
    Captures
  • 1
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    31
  • Captures
    73
  • Mentions
    1
    • News Mentions
      1
      • News
        1

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Association of Demographic, Lipid and Hormonal Profile with Polycystic Ovarian Syndrome in Pakistani Women

Key words: Polycystic ovarian syndrome, Obese women, Non-obese women, Hormones, Lipid profile INTRODUCTION The polycystic ovarian syndrome (PCOS) is the most frequently occurring endocrine, multi-factorial

Article Description

To evaluate the role of social and cultural differences inside the same ethnic group on the ovulatory status of women with polycystic ovary syndrome (PCOS). To correlate social and cultural status with the phenotypic expression (body weight and ovulation) and with androgen and insulin levels of PCOS. University department of medicine. Two hundred and forty-four consecutive PCOS women. All studied patients completed a simple questionnaire to indicate their mean family income and their school education. Ovulation was assessed by measurement of serum progesterone on day 22 of a spontaneous or induced menstrual cycle. Levels of blood testosterone, sex hormone–binding globulin, insulin, and blood glucose were evaluated. In the low to medium income group, 21% of patients had ovulatory PCOS, but the prevalence of the same PCOS phenotype was 43% in patients with high income. In patients with low education, only 12% presented with ovulatory PCOS compared with 47% of the patients with high education status. Mean family income negatively correlated with body mass index, waist circumference, insulin, and insulin resistance. Serum progesterone correlated negatively with insulin and insulin resistance. In an ethnically homogeneous PCOS population, high socioeconomic status was associated with a higher prevalence of the ovulatory phenotype. Differences in ovulatory status between the social classes seem to be related to differences in insulin levels and fat quantity and distribution.

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